Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.33 / $1,379.00 / $5,389.00	Facility		$607.33	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.35 / $391.30 / $708.80	Professional		$370.35	$391.30	$708.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,708.65 / $5,504.22 / $10,378.35	Facility		$2,708.65	$5,504.22	$10,378.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.88 / $775.88 / $775.88	Professional		$775.88	$775.88	$775.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.23 / $525.53 / $824.33	Professional		$393.23	$525.53	$824.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $392.98 / $610.90 / $1,579.18	Professional		$392.98	$610.90	$1,579.18
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $432.12 / $464.43 / $503.52	Professional		$432.12	$464.43	$503.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $580.98	Professional		$32.34	$32.34	$580.98
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.33 / $556.50 / $908.87	Professional		$397.33	$556.50	$908.87